Public Confidence in Vaccines Amy Pisani Executive Director Every Child by Two/Vaccinate Your Family Wrap Up

Public Confidence in Vaccines Amy Pisani Executive Director Every Child By Two/Vaccinate Your Family Wrap Up

• Overview of Federal Challenges

• State Trends

• What Can We Offer Constituents Who Have ?’s

3 Funding is (Currently) Our Biggest Challenge

FY 2016 FY 2017 FY18 Approp FY19 FY18 CDC FY19 Approp Approp President’s Professional Congressional Proposal Judgment Level Appropriation

Section 317/ Immunizatio $610.847 $606.792 $610.847 $520.828 $829.100 $610 M n Program Funding (in millions)

Nearly 53% of the funding reflected above is allocated via the Prevention and Public Health Fund (PPHF) Many states have no disease outbreak funds

“The current vaccine debate is being played out in the media as a partisan one, but historically, support for vaccines has been very nonpartisan. Major White House initiatives date as far back as Thomas Jefferson, who supported mass vaccination against smallpox. John F. Kennedy signed into law the first federal support program for vaccines as part of the Vaccine Assistance Act of 1962. President George H.W. Bush’s administration set a goal of 90 percent immunization rates and led efforts to create model state plans which have become an integral part of the infrastructure serving every community. The Clinton administration’s Vaccines for Children program removed cost as a barrier to eligible families.”

Childhood Immunization Provides Big Savings Vaccines for Children: 23 years of protecting America’schildren

CDC estimates that vaccination of children born between 1994 and 2016 will: • Prevent 381 million illnesses • Prevent 24.5 million hospitalizations • Help avoid 855,000 early deaths • Save nearly $360 billion in direct costs and $1.65 trillion in total society costs • Every dollar spent in childhood vaccination ultimately saves $10.10.

9 What Can Legislators Expect?

Implement Unnecessary Opposition to National Vaccine Additional Ballot Initiatives Injury Compensation Requirements - Program Informed Consent Attempts to Onslaught of Legislative office visits Loosen School Social Media and calls, Vax Exemptions Comments not limited to constituents

Most children ARE vaccinated

• The number of children who do not receive vaccinations at all is less than .08 percent.

Most parents want their communities to be fully vaccinated

• 59% of parents strongly agree and 22% agree that children in daycare should be vaccinated. • Most parents (66%) think they should be informed of the number of children not up-to-date on vaccines. • In a scenario where 1 in 4 children in daycare were not up-to-date, 74% would consider removing their own children.

Internet survey of 2,510 parents of kids under 7 years of age

• Most parents surveyed reported accepting vaccines for their children as recommended (86.1%) •Did not receive all vaccines as recommended, but currently on a catch‐up schedule (2.3%) •Chose to delay at least one but not all recommended vaccines (5.8%) •Chose to delay all recommended vaccines (0.6%) •Chose to refuse at least one but not all recommended vaccines (2.3%) •Chose to refuse and delay some but not all recommended vaccines (1.4%) •Chose to refuse all vaccines (1.6%)

© Every Child By Two, 2018 Source: Allison Fisher, MPH, CDC –Presentation at CDC Reverse Site Visit on June 20, 2017 22 Legislators Can Align with Medical Experts Both nationally and within your community

Contact your immunization coalition, state immunization department, state medical associations (e.g. AAP), large health systems & hospitals for medical expertise and support

Support State Funding for Educational Programming About Vaccines and other essential initiatives

Introduce Resolutions Supporting Importance of Vaccines

• National Immunization Awareness Month – August (WIG PSA) • National Infant Immunization Week ‐ April • National Influenza Vaccination Week ‐ November

They Say… …You Say

Immunizations save lives and the oversight of vaccines by both the federal government Vaccines are not safe …. and private initiatives is unprecedented. I vaccinate my family on time in accordance with medical experts to keep them protected from serious, potentially deadly diseases.

Amy Pisani [email protected]

35 Stay in the Know!

• Every Child By Two/Vaccinate YourFamily: • Alerts & Updates: [email protected] • Annual State of the ImmUnion report: www.vaccinateyourfamily.org • ECBT’s Shot of Prevention Blog: www.shotofprevention.com • Facebook: VaccinateYourFamily • Twitter: @VaxYourFamily • Instagram: Vaccinate Your Family • Terrific video discussing politics and vaccines (clarifying the science behind vaccine safety) https://www.youtube.com/watch?v=K2MrZC3oUkk&feature=share

• Additional Resources We Recommend: • Trust for America’s Health: Sign up for Wellness & Prevention Digest at https://tfah.wufoo.com/forms/register-for-the-digest/ • Sign up for Preparedness Newsletter: https://tfah.wufoo.com/forms/sign-up-for-the-working-group/ • Public Health Institute: www.phi.org

© Every Child By Two, 2018 16 Recommended Childhood/Teen/Maternal Vaccination Resources Provider Resources for Vaccine Conversations with Parents (CDC, AAP and AAFP) •www.cdc.gov/vaccines/conversations Maternal Vaccination Print Resources •www.cdc.gov/vaccines/pregnancy (CDC) •www.immunizationforwomen.org (ACOG) •www.vaccinateyourfamily.org/files/resources/FINAL_updatedpregnancyflier_03162016.pdf (ECBT) Vaccinate Your Family website (ECBT) • www.vaccinateyourfamily.org Immunization Resources for Parents and Parents‐to‐Be –ECBT developed these booklets to help answer questions that parents/families and WIC participants may have about vaccines. It brings together resources from the CDC, ECBT, and other credible partners, and address the importance of immunizations for children, pregnant women and adults. •www.ecbt.org/images/articles/Final2017ImmunizationResourcesforParents_English‐508compliant.pdf (English) •www.ecbt.org/images/articles/Final2017ImmunizationResourcesforParents_Spanish‐508compliant.pdf (Spanish) Recommended Immunization Schedules for Children and Teens (Easy‐to‐Read Formats) •www.cdc.gov/vaccines/schedules/hcp/child‐adolescent.html

NVAC’s Standards for Adult Immunization Practices ‐ The CDC website has a series of fact sheets for healthcare professionals with information and tips on how to improve vaccination practice including assessment, recommendation, administration, referral, and documentation. • www.cdc.gov/vaccines/hcp/adults/for‐practice/standards/index.html Variety of Educational Resources ‐ Use these free educational resources from the CDC to help your adult patients make informed decisions about vaccinations • www.cdc.gov/vaccines/hcp/adults/for‐patients/index.html Vaccine Information Statements (VIS) ‐ Provide Vaccine Information Statements to your patients to help them make informed decisions about vaccinations. Available in multiple languages from IAC. • www.cdc.gov/vaccines/hcp/vis/current‐vis.html • www.immunize.org/new/vis.asp Recommended Adult Immunization Schedule (Easy‐to‐Read Format) • www.cdc.gov/vaccines/schedules/downloads/adult/adult‐schedule‐easy‐read.pdf (English) • www.cdc.gov/vaccines/schedules/downloads/adult/adult‐schedule‐easy‐read‐sp.pdf (Spanish) Vaccinate Your Family website (ECBT) • www.vaccinateyourfamily.org